REBECCA WILD WILD RN
NPI 1417253477
Registered Nurse in Saint Paul, MN

Q: What is Rebecca Wild's NPI number?

The NPI number for Rebecca Wild is 1417253477. It was assigned to this individual provider in the NPPES registry on February 8, 2011.

Q: What is Rebecca Wild's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Wild was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 08, 2011

2236 MARSHALL AVE, SAINT PAUL, MN 55104(651) 659-0208(651) 659-0161 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Rebecca Wild Wild Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA WILD WILD RN (NPI 1417253477) is an individual registered nurse in Saint Paul, Minnesota, licensed in Michigan (4704377570) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1417253477

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameREBECCA WILD WILDCredential: RN

Location Address2236 MARSHALL AVESaint Paul, MN 55104-5799

Mailing Address3097 Prairie St SwGrandville, MI 49418-2000 · (616) 531-9973 · Fax (616) 531-5577

Phone(651) 659-0208

Fax(651) 659-0161

Sole ProprietorYes

Enumeration DateFebruary 8, 2011

Last NPPES UpdateAugust 24, 2022

NPPES CertifiedAugust 24, 2022

✔ NPI 1417253477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

Licenses✔ Licensed in MI · 4704377570✔ Licensed in MN · R 181142-1

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

2236 MARSHALL AVE, Saint Paul, MN 55104

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Other Identifiers 1

Other868K1CAMN · Bcbs

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIXIE KAYE BUNNELL RN

Registered Nurse